SCOTT EYE CARE LTD.
NPI 1013121433
Optometrist in Montgomery, IL

NPI Status: Active since May 09, 2007

Contact Information

1335 DOUGLAS RD
SUITE E
MONTGOMERY, IL
ZIP 60538
Phone: (630) 844-0908
Fax: (630) 844-0677

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  • Organization
  • Optometrist
  • Accepts Insurance
  • CLIA Number: 14D2103768
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 09-17-2027

About SCOTT EYE CARE LTD.

This page provides the complete NPI Profile along with additional information for Scott Eye Care Ltd., a provider established in Montgomery, Illinois operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1013121433 assigned on May 2007. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Scott Eye Care Ltd. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Chula Lerdvoratavee O.d. (President)

NPI
1013121433
Provider Name
SCOTT EYE CARE LTD.
Entity Type
Organization
Location Address
1335 DOUGLAS RD SUITE E MONTGOMERY, IL 60538
Location Phone
(630) 844-0908
Location Fax
(630) 844-0677
Mailing Address
1335 DOUGLAS RD SUITE E MONTGOMERY, IL 60538
Mailing Phone
(630) 844-0908
Mailing Fax
(630) 844-0677
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-09-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License State
IL
Taxonomy Description
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. CHULA LERDVORATAVEE O.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(630) 844-0908

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D2103768
Facility Type
Practitioner Other
Certificate Effective Date
September 18, 2025
Certificate Expiration Date
September 17, 2027
Laboratory Director
RONALD S. WEINGART
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Scott Eye Care Ltd. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1013121433, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
2
Unchanged
Pos 7
1
Doubled → 2
Pos 8
4
Unchanged
Pos 9
3
Doubled → 6
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 1 → 2 1 → 2 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 2 + 3 + 2 + 2 + 2 + 4 + 6 + 24 = 47

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 47 is 50. The difference is the calculated check digit.

50 - 47 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1013121433.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Optometrist (Vision Therapy)
1335 DOUGLAS RD, SUITE E
MONTGOMERY, IL 60538

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013121433, enumerated as an "organization" on May 09, 2007.

The provider is located at 1335 DOUGLAS RD SUITE E MONTGOMERY, IL 60538 and the phone number is (630) 844-0908.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee. Please consult your insurance carrier or call the provider to verify.